Ischemic and Hemorrhagic Strokes in Dakar, Senegal

Sagui, Emmanuel; Mbaye, P. S.; Dubecq, Christophe; Fall, Khadi Ba; Niang, Abdourahmane; Gning, Sarah; Bellefleur, Jean-Pierre; Sane, Mouhamadou; Debonne, Jean Marc

doi:10.1161/01.str.0000177864.08516.47

Cited by 75 publications

(72 citation statements)

References 17 publications

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“…Sagui et al in Dakar, Senegal found a mean age of 61.9 ± 12.4 in 2008 in Dakar [12], a result similar to that of other developing countries [13] [14]. The mean age in the current study is 8 to 15 years lower than that observed in developed countries [15] [16].…”

Section: Discussionsupporting

confidence: 74%

“…There is no strict control of alcohol consumption in Cameroon and there is a significant among of an indigenous production of alcohol that is consumed mainly by poor people. Many studies do not report this risk factor may be for religious reasons [12]- [14]. Tobacco consumption was present in 16% of the patients and especially in men, in our study.…”

Section: Discussioncontrasting

confidence: 50%

“…There were more men in this study making up 68.1% of the cases. Apart from the study by Kouna et al in Gabon [17], the masculin predominance of stroke is reported in other studies carried out in sub-Saharan Africa and elsewhere [12]- [14] [18]. This masculine predominance may be partly explained by the hormonal differences and lifestyle of men who tend to consume alcohol and tobacco more than women in our setting.…”

Section: Discussioncontrasting

confidence: 46%

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Stroke Epidemiology in Douala: Three Years Prospective Study in a Teaching Hospital in Cameroon

Mapoure¹,

Kuate²,

Tchaleu³

et al. 2014

WJNS

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Background and Objectives: Cerebro-vascular accident or stroke constitutes a major challenge in sub-Saharan Africa. In Cameroon, basic epidemiologic data are not routinely available. Aims: The aim of this study was to determine the type, the associated risk factors, time to admission, the clinical presentation and the case fatality of stroke at the Douala General Hospital (DGH) in Cameroon. Methods: A cross-sectional study was performed from January 1, 2010 to December 31, 2012 at the neurology and intensive care units of the DGH. All patients above 15 years of age with a diagnosis of established stroke were enrolled. For each patient, socio-demographic, clinical and paraclinical data were recorded as well as the duration of hospitalization and the case fatality. Results: In all, 325 patients were enrolled with males constituting 68.1% and general mean age of 58.66 ± 13.6 years. The mean initial consultation delay was 47.36 ± 18.48 hours. The majors cerebro-vascular risk factors were hypertension (81.15%), chronic alcohol consumption (28.3%), diabetes mellitus (20.61%), obesity (18.15%), cigarette smoking (16%), dyslipidemia (8.9%) and atrial fibrillation (3.07%). Ischemic stroke accounted for 52% of cases while 48% were hemorrhagic. The mean duration of hospitalization was 8.58 ± 6.35 days with a case fatality rate of 26.8%. Septic conditions appeared to be the leading cause of death accounting for 35.6% of cases. Y. N. Mapoure et al. 407Conclusion: Stroke in the DGH is associated with a high case fatality rate and hypertension remains the number one risk factor. There is a clear and urgent need for public health authorities to reinforce measures for the control of modifiable stroke risk factors.

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Section: Discussionsupporting

confidence: 74%

Section: Discussioncontrasting

confidence: 50%

Section: Discussioncontrasting

confidence: 46%

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Stroke Epidemiology in Douala: Three Years Prospective Study in a Teaching Hospital in Cameroon

Mapoure¹,

Kuate²,

Tchaleu³

et al. 2014

WJNS

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“…There are about 5.5 million yearly deaths and an estimated loss of 49 million disability-adjusted life years worldwide [1][2][3][4] . Hypertension and age are the main risk factors for the different types of stroke, which include ischemic (IS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH).…”

mentioning

confidence: 99%

Frequency of stroke types at an emergency hospital in Natal, Brazil

Martins

Figueiredo

Rocha

et al. 2007

Arq. Neuro-Psiquiatr.

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-We performed a cross-sectional study of stroke type frequency at a local emergency hospital, in Natal, Brazil. The sample consisted of all patients who were admitted to an emergency hospital with a presumptive diagnosis of stroke. Of the 416 patients, 328 were studied, 88 were excluded for not meeting inclusion criteria, 74.7% (n= 245) had ischemic stroke 17.7% (n=58) had intracerebral hemorrhage, 7.6% (n=25) had subarachnoid hemorrhage; 173 were men (52.7%). Mean age was 64.1 years. The intrahospital mortality rate was 10.2%, 17.2% and 36% for ischemic stroke, intracerebral hemorrhage and subarachnoid hemorrhage, respectively. The most prevalent modifiable risk factor was hypertension for ischemic stroke (67.6%) and hemorrhage stroke (57.8%). Logistic regression analysis identified diabetes (OR=3.70; CI=1.76-7.77) as independent risk factor for ischemic stroke. The ischemic stroke was most common type of stroke. Hypertension and diabetes were important risk factors for stroke.KEY WORDS: stroke, Brazil, hypertension. Freqüência dos tipos de acidente vascular cerebral em hospital de emergência, Natal, BrasilRESUMO -Realizamos um estudo de prevalência para determinar a freqüência dos tipos de acidente vascular cerebral (AVC) num hospital de urgência de Natal. Estudaram-se todos os pacientes que foram admitidos no hospital de urgência com diagnóstico presuntivo de AVC. Dos 416 pacientes, 328 foram estudados, 88 foram excluídos por não cumprirem os critérios de inclusão, 74,7% (n= 245) tiveram AVC isquêmi-co, 17,7% (n=58) hemorragia intracerebral e 7,6% (n=25) hemorragia subaracnóidea. O gênero mais prevalente foi o masculino (52,7%). A média de idade foi 64,1 anos. A letalidade intra-hospitalar foi de 10,2%, 17,2% e 36% para o tipo isquêmico, hemorrágico e hemorragia subaracnóide, respectivamente. O principal fator de risco modificável foi a hipertensão arterial sistêmica (HAS) para AVC isquêmico (67,6%) e AVC hemorrágico (57,8%). A regressão logística identificou diabetes como fator de risco independente para AVC isquêmico (OR=3,70; IC=1,77 Dr. Mario E. Dourado -Rua Marcílio Furtado 2042 -59063-360 Natal RN -Brasil. E-mail: medourado@digi.com.br Stroke has become an increasingly important health problem worldwide. There are about 5.5 million yearly deaths and an estimated loss of 49 million disability-adjusted life years worldwide 1-4 . Hypertension and age are the main risk factors for the different types of stroke, which include ischemic (IS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH). The management strategies of these ailments are distinct, since they are heterogenous diseases 5 . There has been a decreasing trend in incidence and mortality from stroke in the USA and Europe 6,7 . In contrast, its incidence has increased in developing countries, which may be due to the rapid aging of the population, and increased prevalence of stroke risk factors resulting from change in diet, sedentary lifestyle and diabetes 2 . Lavados et al. showed a raw annual stroke incidence of 95.8 p...

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“…This high death toll is even much more in SSA where mortality and case fatality rates are alarming ranging from 21% to as much as 50.6% [24][25][26][27][28][29][30][31][32][33][34]. In addition, stroke has also been noted to be a major cause of unregistered deaths in many developing countries [14,16].…”

Section: Epidemiology Of Stroke In Africamentioning

confidence: 99%